Ukukhulelwa kufanele kube yisikhathi sokuthula nokuphepha. Isikhathi lapho umndeni uguqula imicabango yawo ekukhuliseni isizukulwane esilandelayo futhi ukhulise umntwana onempilo. Ngeshwa kwabaningi besifazane, ukukhulelwa kungaba yisiqalo sesikhathi esinobudlova ekuphileni kwabo.
Imiphumela Yokuhlukunyezwa Kwangaphakathi Emakhaya Ekukhulelweni naseMsebenzini
Ukuhlukunyezwa komndeni kanye nodlame olubhekiswe kwabesifazane abakhulelwe banemiphumela esheshayo nehlala njalo.
Ngenkathi ezinye zezinkinga ongase usole ukuthi zikhona, njengokulimala okusheshayo kowesifazane noma umntwana wakhe, kukhona neminye imiphumela ekukhulelwe.
Abesifazane abaningi abahlukunyezwa ngesikhathi sokukhulelwa bazoqhubeka nemikhuba engenampilo ngenxa yokucindezeleka, njengokubhema, ukusebenzisa ukusetshenziswa kwezidakamizwa nemikhuba engafanele yokudla. Lokhu kuthinta nokukhulelwa.
Imiphumela esheshayo ekukhulelweni ingafaka:
- Ukuhlukunyezwa Okungalungile Kwisisu
- Ukulimaza (kufaka phakathi ukuhlukaniswa kwe-placental)
- Ukuphuka komzimba
- Ukushada / Ukubeletha
- Umsebenzi wokuqala
- Ukuqhekeka kwangaphambi kwezibungu
Ukuhlukunyezwa, kokubili esikhathini esidlule kanye nobuhlobo obuseduze, ikakhulukazi ukuxhashazwa ngokocansi, kuboniswe ukuthi kunezimpikiswano ekusebenziseni abesifazane. Kukhona ngisho nokucabanga ukuthi ngabe umlando wangaphambili wokuhlukumezwa ngokocansi ungalibambezela yini ingane ukuba ingene emagqumeni, yenza isiteji siphumelele isikhathi eside, njll.
Izivivinyo eziqhubekayo zesikhumba sabantu abaningi, ukungabi nobumfihlo, ukuzwa okukhulayo endaweni ye-pelvic kusuka ezingxenyeni kanye nengane, futhi okungenzeka ukuthi umuzwa wokuzithiba olahlekile konke kubangele ekuvezeni okubangelwa abesifazane abanobuhle.
Ukweluleka ngaphambi kokusebenza, ukubandakanyeka kombelethisi oyinhloko noma udokotela kungasiza ekunciphiseni lezi zindlebe ngokusindiswa kokuhlukumeza emsebenzini. Ukuqapha okwenziwe ukuqinisekisa ukuhlolwa okulinganiselwe kwesifazane, ukuphumula ubuhlungu bokukhetha kowesifazane, nokunciphisa inani labasebenzi abangaphandle ngesikhathi sokuzalwa yizo zonke izindlela zokunciphisa izinkinga zalaba besifazane.
Ukuhlola Ukuhlukunyezwa Kwamakhaya
Kulinganiselwa ukuthi owesifazane kwabahlanu uzohlukunyezwa ngesikhathi sokukhulelwa. Njengoba ukubulala ngesikhathi sokukhulelwa manje kudlula izimbangela zokufa ezidlule (izingozi zezimoto kanye nokuwa), kubaluleke kakhulu kunanini ngaphambili ukuthi siyazi izimpawu futhi sibukeze kahle abesifazane besifazane ubudlova basekhaya.
Izindaba ezinhle ukuthi abesifazane abaningi babe nobuhlobo nomnakekeli wezempilo, ikakhulukazi ngesikhathi sokukhulelwa kanye nokuvakasha kwezingane, emva kokuzalwa (ngisho nemindeni ephansi engenayo). Lokhu kuvumela amathuba amaningi okuhlola nokuvimbela.
Lokho esikudingayo ukuqhubeka nokuqinisekisa ukuthi abahlinzeki bokunakekela nabasebenzi begumbi lokuphuthumayo bayazi izimpawu zokuhlukunyezwa nokuthi benzeni ngabo. Njengamanje abangaba ngu-17% wabo bonke abahlinzeki bezempilo abanomkhuba wesibuko sobudlova basekhaya ekuvakasheni kwabo kokuqala, benokuhlola okungu-10% kuphela ekuvakasheni okulandelayo.
Abesifazane abahlukumezekile bavela kuzo zonke izizinda kanye nezindawo zomphakathi. Kunezivimbela ekunqumeni ukuthi ubani ohlukunyezwe ngenxa yokwesaba ukuphindwa kumlingani odlamelayo, ukungabi namakhono okusebenza okukwazi ukubhekana nezindleko zemali nezindlu, kanye nokuhlazeka ukuthi usekulesi simo. Odokotela kudingeka bazwele kulezi zinkinga.
Izimpawu ezivamile kungenzeka zibe:
- Ukudambisa ekufuneni ukunakekelwa kokubeletha
- Ukulimaza noma ukulimaza amabele akhe noma isisu
- Ukusetshenziswa okuqhubekayo kwemikhiqizo eyingozi ekukhulelweni (ugwayi, izidakamizwa, utshwala)
- Izifo ezithathelwanayo ezingqondweni ze-psychosomatic
- Ukungabi khona kwemfundo ngaphambi kokubeletha
Ukuthola Usizo
Usizo luyatholakala kulabo abathintekayo ebuhlotsheni obuhlukumezayo. Amazwe amaningi anezinhlelo zokukunikeza indawo yokukhosela nezembatho, ngisho nokunakekelwa kokubeletha. I-American Institute on Violence Domestic inekhasi elikhulu lemithombo, kuhlanganise nesifundazwe ngokufakwa kuhlu kwezinhlangano zikahulumeni. Kukhona futhi uhlu lwamasayithi omhlaba atholakalayo.
Khumbula, lolo sizo luyatholakala, futhi awusiye wedwa. Sicela, ngenxa yakho nangomntanakho ungalibali ukufuna usizo, izimpilo zakho zingancika kulo.
"I-National Domestic Violence Hotline: Uma ukhona, noma wazi umuntu ohlukunyezwe nobudlova obuseduze naye, xhumana nendawo yokukhosela yabesifazane besendaweni yangakini noma i-National Domestic Violence Hotline ngo-800-799-SAFE (7233), 800-787-3224 TYY. " kusuka ku-CDC
Imithombo:
Bergstrom, L., nabanye. Uzozwa ngikuthinta, u-sweetie: ukuhlolwa kwamasikati ngesikhathi sesigaba sesibili sokusebenza.
Ukuzalwa 19: 10-18, Mar. 1992.
UBohn D, u-Holz K. Sequelae wokuhlukunyezwa.
UJ Nurse Midwifery 1996; 41 (6): 442-56.
UBohn D, u-Holz K. Sequelae wokuhlukunyezwa: imiphumela yezempilo yokuhlukumeza ngokocansi ebuntwaneni, ukubethelwa ekhaya nokudlwengula.
J Nurs Midwifery 1996; 41 (6): 442-56.
I-Brown J, i-Lent B, i-Brett P, uSas G, uPederson L. Ukuthuthukiswa kwamathuluzi okuhlola ukuhlukumeza abesifazane okusetshenziselwa ukusetshenziswa komndeni.
I-Fam Med 1996; 28: 422-8.
I-Campbell J, i-Poland M, i-Waller J, i-Ager J. Correlates yokushaya ngesikhathi sokukhulelwa.
I-Res Health Health 1992; 15: 219-26.
Amasevisi Okulawula Nokuvimbela Izifo. Ubudlova obuseduze nabalingani. Kugcine ukufinyelelwa ngo-Okthoba 30 2010.
UDietz P. Ukungenelela kokunakekelwa kokubeletha: umphumela wodlame lomzimba.
I-Obstet Gynecol 1997; 90: 221-4.
Ukuqapha Okuthuthukisiwe Ngokufa Kwezokukhulelwa, eMargan 1993-1998
Umagazini we-American Medical Association (Umqulu 285, No. 11)
I-Goodwin T, uBreen M. Ukukhulelwa komphumela kanye nokuqeda kwesisu emva kokuhlukunyezwa okungenascatastrophic.
Am J Obstet Gynecol 1990; 162: 665-71.
McFarlane J, Parker B, Soeken K. Ukuhlukunyezwa ngokomzimba, ukubhema nokusetshenziswa kwezidakamizwa ngesikhathi sokukhulelwa: ukukhula, ukuxhumana, nemiphumela ekutheni isisindo sokuzalwa.
J Obstet Gynecol Umhlengikazi we-Neonatal 1996; 25: 313-20.
I-National Association ye-County and City Health Officials (NACCHO). Ubudlelwane obuseduze nabalingani phakathi kwabesifazane abakhulelwe nabazali: Imikhakha yoMnyango WezeMpilo Yendawo Yokuhlola, Ukungenelela Nokuvimbela. 2008.
U-Newberger E, uBarkan S, uLieeberman E, et al. Ukuhlukunyezwa kwabesifazane abakhulelwe kanye nomphumela wokubeletha okubi.
I-JAMA 1992; 267: 2370-2.
Petersen R, Gazmararian J, Spitz A, et al. Udlame kanye nemiphumela yokukhulelwa kabi.
Am J Prev Med 1997; 13 (5): 366-73.